Abstract:
OBJECTIVE:To identify and critically evaluate methods for proning patients with COVID-19 in the intensive care unit (ICU). BACKGROUND:Acute respiratory distress syndrome (ARDS) is common in hospitalized patients with COVID-19. Proning improves blood oxygenation and survival rates in these patients but is not commonly performed due to the difficulty of the procedure. METHODS:An academic literature review, internet video search, and consultation with five subject-matter experts was performed to identify known methods for proning. Evaluation of each method considered the number of healthcare workers required, physical stresses on staff, risk of adverse events to patients, and equipment cost and availability. RESULTS:Several variations of manual techniques and-lift assisted techniques were identified in addition to a specialized proning bed. Manual methods require more healthcare workers, higher physical stresses, and greater risk of adverse events than lift-assisted methods or the proning bed. CONCLUSION:Both the specialized proning bed and a lift-assisted method using straps largely eliminated manual forces required for proning while allowing for a controlled lowering and positioning of the patient. APPLICATION:This review will guide practitioners to the most suitable methods for proning patients in the ICU.
journal_name
Hum Factorsjournal_title
Human factorsauthors
Wiggermann N,Zhou J,Kumpar Ddoi
10.1177/0018720820950532subject
Has Abstractpub_date
2020-11-01 00:00:00pages
1069-1076issue
7eissn
0018-7208issn
1547-8181journal_volume
62pub_type
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